I’ve worked in prosthetics for some time and have been considering changes
in my approach to ischial containment procedures. This is occasioned less by
my own willingness than by reports from a resident currently working at our
facility and my attempt to demonstrate a degree of flexibility.
Since 1986 I’ve basically followed Chis Hoyt’s UCLA cat/cam approach to
casting and measurement with some allowance for a slightly larger
medio-lateral and smaller antero-posterior dimension – i.e., mildly more
quadrilateral . The discussion said resident and I are having is in regard to
the use of casting brims. This is particularly those brims that offer true
containment with patients weightbearing (on a stand) and allowing
conventional wrapping and molding of the distal and lateral /distal femur.
Could those of you willing to respond give me some idea of how successful
this tends to be, what manufacturers you prefer, and what shortcomings you
I’ll be glad to see that results are posted. All correspondent names will be
Thanks for your time and thought.
Dave Gross CP